Indian Journal of Ophthalmology

OPHTHALMIC IMAGE
Year
: 2019  |  Volume : 67  |  Issue : 2  |  Page : 279-

Endoscopic view of mascara laden lacrimal sac with canalicular involvement


Nishi Gupta1, Smriti Bansal2, Arpan Gandhi3,  
1 Department of ENT, Dr Shroff's Charity Eye Hospital, Daryaganj, New Delhi, India
2 Department of Ophthalmology, Dr Shroff's Charity Eye Hospital, Daryaganj, New Delhi, India
3 Department of Pathology, Dr Shroff's Charity Eye Hospital, Daryaganj, New Delhi, India

Correspondence Address:
Dr. Nishi Gupta
Department of ENT, Dr Shroff's Charity Eye Hospital, 5027, Kedarnath Road, Daryaganj, New Delhi - 110 002
India




How to cite this article:
Gupta N, Bansal S, Gandhi A. Endoscopic view of mascara laden lacrimal sac with canalicular involvement.Indian J Ophthalmol 2019;67:279-279


How to cite this URL:
Gupta N, Bansal S, Gandhi A. Endoscopic view of mascara laden lacrimal sac with canalicular involvement. Indian J Ophthalmol [serial online] 2019 [cited 2020 Apr 4 ];67:279-279
Available from: http://www.ijo.in/text.asp?2019/67/2/279/250663


Full Text



Mascara, a widely used cosmetic, is associated with eye pathology.[1] Pigmentation of conjunctiva and nasolacrimal sac occurs when macrophages ingest pigmented material that then settles within the substantia propria of the epithelium.[1],[2],[3]

A 62-year-old woman underwent bilateral endoscopic dacryocystorhinostomy with canalicular trephination for epiphora. Intraoperatively, abnormal pigmentation was noted around the common canalicular opening into the lacrimal sac [Figure 1]a and [Figure 1]b. The histopathology showed fibrous tissue with abundant pigmentation within the cytoplasm of stroma of the fibrous tissue [Figure 1]c and [Figure 1]d. Appearances of these pigments were consistent with mascara.{Figure 1}

The physical findings combined with a high index of suspicion, especially in cases of heavy mascara use, may allow for an accurate diagnosis.[1]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Ciolino JB, Mills DM, Meyer DR. Ocular manifestations of long-term mascara use. Ophthalmic Plast Reconstr Surg 2009;25:339-41.
2Clifford L, Jeffrey M, Maclean H. Lacrimal sac pigmentation due to mascara. Eye (Lond) 2011;25:397-8.
3Hidayat A, Weatherhead R, Al-Rajhi A, Johnson F. Conjunctival and lacrimal sac pigmentation by kohl (eyeliner). Br J Ophthalmol 1997;81:415.